SSM Health St. Anthony Hospital - Shawnee
1102 W Macarthur, Shawnee, OK · SSM Health · · NPI 1134123193
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $43.61 – $43.61 | 1 |
| Immunofixation electrophoresis serum CPT 86334 | $197.45 | $359.00 | $22.34 – $32.59 | 8 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | not published | not published | $52.45 – $169.33 | 3 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $226.60 | $412.00 | $39.30 – $319.52 | 8 |
| Immunoglobulin assay CPT 86023 | $24.20 | $44.00 | $12.46 – $18.22 | 8 |
| Immunotherapy 2/> injections CPT 95125 | not published | not published | $22.78 – $22.78 | 1 |
| Impact tooth remov part bony HCPCS D7230 | not published | not published | $277.06 – $1,212.46 | 7 |
| Impedence cardiogram CPT 93701 | not published | not published | $28.23 – $249.53 | 8 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $4,103.56 – $32,883.82 | 6 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $585.14 – $4,103.56 | 2 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | not published | not published | $1,234.06 – $1,234.06 | 1 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | not published | not published | $1,057.34 – $2,061.81 | 8 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $4,103.56 – $30,871.48 | 6 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Implant brain electrodes CPT 61531 | not published | not published | $1,411.00 – $4,103.56 | 2 |
| Implant brain electrodes CPT 61533 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Implant brain electrodes CPT 61760 | not published | not published | $1,411.00 – $4,103.56 | 2 |
| Implant cochlear device CPT 69930 | not published | not published | $1,845.46 – $61,837.60 | 9 |
| Implant cochlear osia osi300 HCPCS L8690 | not published | not published | $9,260.69 – $9,260.69 | 1 |
| Implant eye drug system CPT 67027 | not published | not published | $1,268.49 – $29,193.18 | 9 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $84.88 – $837.81 | 7 |
| Implant nerve end CPT 64787 | not published | not published | $354.62 – $1,254.00 | 2 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $425.41 – $4,103.56 | 2 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $751.38 – $4,103.56 | 2 |
| Implant neuroelectrode CPT 61863 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Implant neuroelectrode CPT 61867 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $1,274.74 – $40,744.34 | 8 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $683.66 – $23,693.59 | 9 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $495.03 – $12,469.51 | 8 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $462.94 – $12,469.51 | 9 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Implant neurostim arrays CPT 61886 | not published | not published | $1,336.29 – $57,899.82 | 9 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | not published | not published | $1,933.00 – $1,933.00 | 1 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | not published | not published | $960.44 – $1,872.86 | 8 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $961.00 – $5,293.00 | 3 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Implant spinal canal cath CPT 62351 | not published | not published | $1,385.68 – $13,608.67 | 8 |
| Implant spine infusion pump CPT 62361 | not published | not published | $660.79 – $33,802.85 | 9 |
| Implant spine infusion pump CPT 62362 | not published | not published | $587.00 – $33,802.85 | 9 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Implant ureter in bowel CPT 50800 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Implant ureth bulk agent HCPCS L8606 | not published | not published | $423.63 – $423.63 | 1 |
| Impl ear abutment ba300 9mm HCPCS L8693 | not published | not published | $1,877.12 – $3,660.38 | 8 |
| Impl eye bio-eye 16mm HCPCS L8042 | not published | not published | $3,996.01 – $7,792.22 | 8 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $633.64 – $12,469.51 | 9 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $323.67 – $323.67 | 1 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $607.35 – $16,458.68 | 9 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $942.58 – $24,446.96 | 8 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $1,023.06 – $24,446.96 | 8 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $750.46 – $24,446.96 | 9 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $1,071.16 – $4,103.56 | 2 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $131.25 – $4,103.56 | 2 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $662.86 – $7,752.03 | 8 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Implt neurostim elctr each HCPCS L8680 | not published | not published | $332.08 – $332.08 | 1 |
| Imp neurosti pls gn any type HCPCS L8679 | not published | not published | $16,243.22 – $16,243.22 | 1 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $298.74 – $945.42 | 7 |
| Impreg gauze no h20/sal/yard HCPCS A6266 | not published | not published | $4.29 – $4.67 | 2 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $1,966.37 – $6,217.98 | 8 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $2,020.98 – $6,217.98 | 8 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $3,188.71 – $6,217.98 | 8 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $1,791.74 – $6,217.98 | 8 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $1,854.46 – $11,239.75 | 8 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $1,966.37 – $11,239.75 | 8 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $227.80 – $731.00 | 8 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $2,668.06 – $11,239.75 | 8 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $1,709.43 – $6,217.98 | 8 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $1,580.18 – $6,217.98 | 8 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $1,829.12 – $6,217.98 | 8 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $1,082.65 – $2,909.92 | 8 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $43.33 – $84.49 | 9 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $4,420.46 – $6,696.36 | 2 |
| In-111 autol wbc diag per dose HCPCS A9570 | not published | not published | $1,103.19 – $6,696.36 | 8 |
| In-111 capromab pendet HCPCS A9507 | not published | not published | $1,730.29 – $8,664.53 | 7 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $6,898.50 – $6,898.50 | 1 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $1,387.65 | $2,523.00 | $831.46 – $3,348.17 | 8 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $1,365.10 | $2,482.00 | $745.62 – $1,462.14 | 8 |
| In-111 pentetreotide HCPCS A9572 | $2,544.30 | $4,626.00 | $2,000.94 – $11,187.40 | 8 |
| In-111 satumomab pend HCPCS A4642 | not published | not published | $2,751.19 – $2,751.19 | 1 |
| Inactivated je vacc im CPT 90738 | not published | not published | $309.83 – $459.01 | 2 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $685.48 – $6,136.48 | 7 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $902.23 – $13,608.67 | 9 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $786.33 – $6,164.76 | 9 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $2,715.45 – $13,608.67 | 7 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $2,297.50 – $13,608.67 | 7 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $2,297.05 – $13,608.67 | 7 |
| Incis addl spine segment CPT 22216 | not published | not published | $545.98 – $545.98 | 1 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $653.67 – $3,710.26 | 9 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $165.09 – $1,869.60 | 8 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $533.39 – $6,164.76 | 8 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $678.99 – $3,040.78 | 9 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $783.77 – $3,710.26 | 8 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $967.30 – $3,710.26 | 8 |
| Incise inner ear CPT 69801 | not published | not published | $189.56 – $2,909.92 | 9 |
| Incise inner ear nerve CPT 69915 | not published | not published | $1,933.00 – $6,217.98 | 9 |
| Incise inner ear nerve CPT 69950 | not published | not published | $1,189.00 – $4,103.56 | 2 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $373.47 – $1,042.34 | 8 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $714.80 – $4,333.39 | 9 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.